STEPAN, JEFFREY

$47K

Total Medicaid Paid

1,149

Total Claims

1,011

Beneficiary Records

4

Codes Billed

2020-10

First Month

2024-08

Last Month

Code	Description	Claims	Bene. Records	Total Paid
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	578	489	$19K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	244	230	$14K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	258	227	$12K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	69	65	$2K

Medicaid Provider Spending